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Indiana rates for HCPCS 63621

Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $346.74 / $575.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $8,709.64 / $11,220.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $234.42 / $269.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $338.84 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $3,890.45 / $6,456.54